Читать книгу Practical Cardiovascular Medicine - Elias B. Hanna - Страница 156

Hemodynamic instability after a cardiac arrest may be secondary to myocardial infarction, myocardial stunning that results from the arrest itself, or post-cardiac arrest syndrome, which is a form of systemic inflammatory response syndrome (SIRS) with systemic vasodilatation similar to sepsis. Post-cardiac arrest syndrome is managed similarly to sepsis with an early goal-directed therapy. The SBP goal is usually >90 mmHg; one study has shown that a mean blood pressure >70 mmHg in the first 6 hours is associated with better neurological outcomes.¹⁹² 1–2 liters of isotonic fluid is initially administered, followed by dopamine or norepinephrine.